Children with epilepsy may experience cognitive impairment due to the effects of structural lesions or seizure activity. This study aims to determine the cognitive function of children with general epilepsy. This study was a cross-sectional design that included children aged 6 to 68 months with general epilepsy in the polyclinic and pediatric ward of Sanglah Hospital Denpasar from September 2013 to January 2015. All children who participated in this study were subjected to a Mullen scale examination. Statistical analysis was performed using Chi- square test and multivariate analysis with logistic regression. In 93 children with general epilepsy, there was a significant correlation between the level of cognitive function and seizure frequency >10 times with an odds ratio 6.067 (95% CI 2.002-18.388, p value 0.001) and seizure duration >= 15 minutes with an odds ratio 6.006 (95% CI 1,817-20,246, p value 0.003). In this study, it can be concluded that seizure frequency >10 times and seizure duration >= 15 minutes in children with general epilepsy have a positive relationship of 6 times with the abnormal cognitive function. Further studies are needed to determine cognitive development of children with general epilepsy.
Strengthening service facilities is an important aspect of universal health complaints and this is consistent with the achievement of sustainable development goals (SDGs). The bed occupancy rate in the inpatient facility a measure of the ability of inpatient facilities to function safely and effectively. This study aims to find out the projection of inpatient admissions and beds needs in hospitals and Public Health Center in Indonesia. Analysis to projection was conducted used the Need based model method with 2015 population reference from SUPAS 2015. The results showed that the yearly inpatient admission rate in 2023 increased by around 71% (115,554 TT) compared to 2019. Conclusion The projection of inpatient admissions for PHC in 2023 increases by 20%, the average number of days of hospitalization increases by 18.38%, and the number of Beds increases by 29% compared to 2018. The projection of hospital admissions in 2023 increases by 60%, the average day of hospitalization increases by 81.62%, and the number of inpatient beds increased by 71% compared to 2018. The suggestions are needed to build inpatient facilities, strengthen the FKTP, IT development to with applications or software model need based.
The prevalence of hypertension in the world is about 1.13 billion. Most people with hypertension are undiagnosed and unaware that they have it. The low level of medication in patients with hypertension affects uncontrolled blood pressure. The long-term effect may risk cardiovascular disease, kidney failure, stroke and even death. The study aims to determine the prevalence, awareness, treatment, control, and risk factors of hypertension toward productive age in Indonesia. The study design was cross-sectional with secondary data analysis from the Indonesian Family Life Survey (IFLS) 5 with the sample aged 15-64 years. The Chi-square test is applied to see the correlation between variables with p-values of 0.05 and 95%CI. The findings indicated hypertension prevalence (22.49%), awareness (10.60%), treatment (23.73%) and control (27.97%). Significant factors risk hypertension were obesity (PR 2.75; 95% CI 2.59-2.93), aged groups; 25-34 years (PR 1.51; 95% CI 1.35-1.68), 35-44 years (PR 3.52; 95%CI 3.17-3.90), 45-54 years (PR 7.89; 95% CI 7.11-8.77), 55-64 years (PR 13.36; 95% CI 11.92-14.97). Other variables showed no significant relationships. The variables such as low awareness, treatment, and control of hypertension for productive age increase the morbidity and mortality of non-communicable diseases in the future. Health screening efforts must be carried out by a routine blood pressure check for productive ages and optimizing the role of Integrated Non-Communicable Diseases Post (Posbindu PTM). Abstrak Prevalensi hipertensi di dunia sekitar 1,13 miliar. Kebanyakan penderita hipertensi tidak terdiagnosis dan tidak menyadari bahwa mereka menderita hipertensi. Rendahnya konsumsi obat pada penderita hipertensi membuat tekanan darah tidak terkontrol. Efek jangka panjangnya bisa berisiko penyakit kardiovaskular, gagal ginjal, stroke, bahkan kematian. Penelitian ini bertujuan untuk mengetahui prevalensi hipertensi yang diaganosis, pengobatan, terkontrol dan faktor risiko hipertensi pada usia produktif di Indonesia. Desain penelitian adalah cross-sectional dengan analisis lebih lanjut dari data Indonesian Family Life Survey (IFLS) 5 dengan sampel 15-64 tahun. Data dianalisis dengan uji chi-square untuk melihat hubungan variabel dengan p-value 0,05 dan 95% CI. Hasil studi menunjukkan prevalensi hipertensi (22,49%), awareness (10,60%), treatment (23,73%) dan control (27,97%). Faktor signifikan risiko hipertensi adalah obesitas (PR 2,75; IK 95% 2,59-2,93), kelompok umur; 25-34 tahun (PR 1,51; IK 95% 1,35-1,68), 35-44 tahun (PR 3,52; IK 95% 3,17-3,90), 45-54 tahun (PR 7,89; IK 95% 7,11-8,77) , 55-64 tahun (PR 13.36; IK 95%11.92-14.97). Variabel lain tidak menunjukkan hubungan yang signifikan. Rendahnya awareness, treatment, dan control hipertensi pada usia produktif akan meningkatkan morbiditas dan mortalitas penyakit tidak menular di masa yang akan datang. Upaya skrining kesehatan harus dilakukan dengan rutin memeriksakan tekanan darah bagi usia produktif dengan mengoptimalkan peran Pos Binaan Terpadu Penyakit Tidak Menular (Posbindu PTM).
Traffic accidents are the biggest cause of injury. Two of the three main causes of death are injuries from traffic accidents, which are expected to increase further than other causes of death. The number of injuries caused by riding in Kebumen District from 2014 to 2016 involves mainly motorcycles, occurring in the 15-30 year age group, with private and student status that did not possess any driving license. This study determines factors related to the incidence of injury on motorcyclist students of 1 State Vocational High School Puring, Kebumen District academic year 2016/2017 based on host factors, agent factors, and environmental factors. This study was a cross-sectional design with a random sampling technique on 313 motorcyclists. Questionnaires disseminated as the data collection. The analysis was either univariate or bivariate with a significance level p-value<0.05. Drivers were dominantly male. Most occupation of the parents was farmers. The majority of motorists never participate in any safe driving socialization, and the average age was 11 years old when they started to ride a motorcycle. The average mileage per day was 11 km. Bivariate analysis results no correlation among sex, parental occupation, age of first started to ride a motorcycle, use of personal protective equipment, the safe driving socialization, the vehicle feasibility, the driving license ownership, and parental support for safe driving with the incidence of injury. There was a relationship between distance to school, knowledge of safe driving, and friend's motivation to safe driving with injuries. Abstrak Kecelakaan lalu lintas merupakan penyebab cedera terbesar. Salah satu penyebab utama kematian adalah cedera akibat kecelakaan lalu lintas, yang diperkirakan terus meningkat dibandingkan dengan penyebab kematian lain. Jumlah kejadian cedera akibat berkendara di Kabupaten Kebumen tahun 2014−2016, banyak melibatkan kendaraan sepeda motor dengan pengendara usia 15−30 tahun, berstatus swasta, pelajar serta tidak memiliki SIM. Studi ini mengidentifikasi faktor yang berhubungan dengan kejadian cedera pada pengendara sepeda motor siswa SMK Negeri 1 Puring Kabupaten Kebumen tahun ajaran 2016/2017 berdasarkan host, agent dan environment factors. Penelitian menggunakan desain potong lintang. Teknik pengambilan sampel menggunakan random sample pada 313 pengendara sepeda motor. Pengumpulan data menggunakan kuesioner. Analisis data dilakukan dengan univariat dan bivariatengan tingkat signifikansi p-value < 0.05. Terdapat pengendara terbanyak usia 16 tahun sejumlah 145 pengendara, pengendara yang berusia 17˗21 tahun sejumlah 129 pengendara, didominasi laki-laki dan pekerjaan orangtua petani. Mayoritas pengendara tidak mengikuti sosialisasi berkendara yang aman. Sejak usia 11 tahun mereka mulai aktif mengemudikan sepeda motor dengan Jarak tempuh 11 km perhari. Hasil analisis bivariabel menunjukkan tidak ada keterkaitan antara usia, jenis kelamin, pekerjaan orangtua, usia awal pengendara sepeda motor mulai aktif mengemudikan sepeda motor, penggunaan alat pelindung diri, sosialisasi berkendara yang aman, kepemilikan SIM C, faktor kelayakan kendaraan dan dukungan orangtua dalam berkendara yang aman dengan kejadian cedera. Terdapat hubungan antara jarak tempat tinggal dengan sekolah, pengetahuan tentang berkendara yang aman dan dukungan teman dalam berkendara yang aman dengan kejadian cedera. Dukungan teman sebaya menjadi faktor paling dominan menentukan terjadinya cedera. Siswa yang tanpa dukungan berkendara aman memiliki risiko cedera. Maka, sosialisasi berkendara oleh pihak kepolisian dan kolaborasi dengan sekolah menjadi hal yang wajib untuk siswa berkendara aman dan selamat di jalan.
Changes in policies implemented in Indonesia before and after the New Normal policy affect the prevention habits that have been implemented by the community. Therefore, a study to determine factors affecting washing hands behavior after the implementation of the new normal policy during the COVID-19 period has been conducted in order to address this issue. This study uses two analyzes, the paired T-test which aims to determine whether there are differences in handwashing behavior among respondents before and after the new normal period, and a multivariate test using logistic regression analysis which aims to determine the factors that influence the lack of hand washing behavior. The results of this study's data analysis showed that there was a decrease in the number of respondents who had washed their hands well before and after new normal policy (73.75% to 67.75%). The results of the analysis also show that the lack of hand washing habits is related to factors such as education, intensity of seeking information related to COVID-19, have had positive for COVID-19, and anxiety due to information received. Meanwhile, age, gender, and income have no effect on this behavior. Hopefully, these results can be used as a foundation for the making of policies to improve health promotion and education on proper handwashing to targeted communities, such as people with low education level, rarely seek information, or are not anxious about COVID-19 disease. Image media can also be used to increase the interest of these targeted people towards information related to COVID-19. Abstrak Perubahan kebijakan yang diterapkan di Indonesia sebelum dan setelah kebijakan “New normal”/Adaptasi kebiasaan baru (AKB) dapat mempengaruhi upaya pencegahan penyakit di masyarakat. Informasi terkait perubahan perilaku masyarakat setelah diberlakukannya suatu kebijakan pemerintah sangat penting diketahui. Oleh karena itu, studi tentang faktor-faktor penentu kebiasaan mencuci tangan setelah diterapkannya kebijakan Adaptasi Kebiasaan Baru (“New normal”) AKB pada masa COVID-19 telah dilakukan untuk menjawab persoalan tersebut. Studi ini melakukan dua analisis yaitu uji beda dengan menggunakan uji T berpasangan yang bertujuan untuk menentukan apakah terdapat perbedaan perilaku mencuci tangan pada responden sebelum dan setelah masa adaptasi kebiasaan baru dan uji multivariat menggunakan analisis regresi logistik yang bertujuan untuk menentukan faktor yang berpengaruh pada kurangnya perilaku mencuci tangan pada responden. Hasil analisis data studi ini menunjukkan bahwa terjadi penurunan jumlah responden yang tadinya mencuci tangan dengan baik pada masa sebelum adaptasi kebiasaan baru (73,75%) menjadi kurang baik di masa setelah adaptasi kebiasaan baru (67,75%). Hasil analisis juga menunjukkan bahwa kurangnya kebiasaan mencuci tangan berhubungan dengan faktor-faktor seperti pendidikan, intensitas pencarian informasi terkait COVID-19, pernah positif COVID-19, dan kecemasan akibat informasi yang diterima. Sedangkan umur, gender, dan pendapatan tidak berpengaruh terhadap perilaku ini. Diharapkan hasil studi ini dapat digunakan sebagai dasar untuk pengembangan kebijakan promosi dan edukasi kesehatan terkait kebiasaan cuci tangan yang benar terhadap orang-orang yang ditargetkan, seperti orang-orang dengan tingkat pendidikan rendah, jarang mencari informasi, atau orang-orang yang tidak khawatir terhadap penyakit COVID-19. Media gambar juga dapat digunakkan untuk meningkatkan ketertarikan masyarakat yang ditargetkan ini terhadap informasi terkait COVID-19.
